Breast Augmentation Dallas

Dissatisfaction with breast size and shape can lead to diminished self-confidence and embarrassment living in your own body. No woman should suffer those indignities. If you want to regain control over how you look and feel and achieve the curves of your dreams, then breast augmentation with Dallas plastic surgeon Dr. Vasdev Rai may be exactly what you need.

Customized Breast Augmentation

For breast augmentation (also known as breast enlargement), Dr. Rai uses FDA-approved saline or silicone breast implants. The type, shape, size, incision type, and placement of your implants are all choices we will help you make during your consultation.

We recognize that every woman is unique and brings her own ideals and body shape to the process. We spend time discussing all of your available options with you, and Dr. Rai will recommend the breast implants and surgery options he believes are best for you. However, the final decisions about the details of your breast implant procedure will be up to you. We empower you to make the decisions that are right for your body and will give you the natural-looking results you want. Dr. Rai offers financing options to help keep breast augmentation affordable!

Breast Implants

At the Cosmetic Surgical Center in Dallas, we offer our patients a wide variety of breast implant options in order to provide you with the best options for your figure and your cosmetic goals. During your consultation, we will discuss your options for:

Implant type: saline or silicone. Dr. Rai recommends silicone implants because of their more natural look and feel.

Implant size: size is one of the most important factors for most women. We will also discuss the different styles of projection, including low, medium, or high profile, which will affect the appearance of the size of the implants you choose.

Implant texture: the outer surface of your breast implant, made from a synthetic material called Silastic, can be smooth or textured.

Implant shape: in addition to various sizes and profiles, implants also come in different shapes. You can select a round or teardrop implant. Adjustable implants are also available, but usually reserved for unique situations.

We will explain your options in detail, answer your questions about each choice, and make the best recommendations to help you achieve your cosmetic goals.

Placement of Implants

The placement of your breast implants will play a large role in the final results of your procedure. Dr. Rai’s recommended placement will depend on several factors, such as the amount of natural breast tissue you have to begin with.

There are two main placement options:

Subglandular: subglandular placement is done below the breast tissue but above the muscles in the chest. This is a slightly less invasive placement, and is often ideal for women with enough natural breast tissue to cover the implant. It is also appropriate for women who engage in competitive weight lifting or other body sculpting activities.

Submuscular: submuscular placement is done below the breast tissue and chest muscles. This placement provides an additional layer of coverage for your breast implants, which reduces the appearance of imperfections such as rippling and wrinkling. The additional support for the implant also reduces the risk of sagging.

Submuscular placement is less likely to interfere with mammogram and breastfeeding, and can produce more natural looking and feeling results. It will require a slightly longer surgery and may increase recovery time.

Choosing Implant Size

Breast implants are not measured by cup size. Instead they are measured by volume in cubic centimeters (cc’s). Larger implants will have a larger number. For example a 300cc implant is larger than a 250cc implant.

The same size implant may look completely different on two different women because of body shape and height and weight. Your friend may wear a D cup with 300cc implants, but that does not mean the same size implant will produce the same results for you.

At the Cosmetic Surgical Center in Dallas, we encourage patients to begin with photos of women with a breast size you admire and would want to emulate. Bring these photos to your consultation with Dr. Rai to begin the discussion of your cosmetic surgery goals.

We will help you select the appropriate breast implant size to give you the results you are looking for.

Silicone Breast Implants

Dr. Rai recommends silicone implants for most of our Dallas patients because they produce the most natural look and feel. Silicone implants are made from a cohesive inner silicone gel that is surrounded by a think outer silicone shell.

Our FDA-approved silicone implants provide our patients with:

A variety of size choices

Teardrop or round shaped

Low, moderate, or high profile

Any patient over the age of 22 can choose silicone implants.

Since being approved by the FDA in 2006 for use in cosmetic surgeries, silicone implants have helped millions of women feel more comfortable and confident in their bodies.

Risks

Every surgical procedure comes with some risk. It is important for our patients to understand the risks of breast augmentation in order to make a sound decision about undergoing the procedure. Breast augmentation risks include:

Breakage/leakage of breast implants. If the tough outer shell of your implant breaks, the implant may leak, especially if it is a saline implant, and need to be replaced. There are no health consequences to leaking implants.

Interference with breast exams or mammograms. Dr. Rai will teach you some easy techniques to properly self-examine your breasts with implants, and trained radiologists can easily overcome mammogram difficulties with newer, more advanced mammography techniques.

Rippling or wrinkling. Saline implants have inherent ripples in the shell. Silicone implants ripple less and implants behind the chest muscle are less noticeable. By properly choosing, placing, and filling your breast implant pockets, we minimize this type of problem.

Capsular contracture. Your body will naturally make a layer of scar tissue around your implants. Contracture occurs when that capsule of scar tissue begins to tighten around and constrict your implant. An additional surgery may be required to correct this distortion.

Loss of feeling or diminished sensitivity. Most sensory changes are temporary and will disappear within 6-12 weeks. However, you should be aware that permanent sensory changes can occur. Dr. Rai is careful to avoid unnecessary nerve manipulation during your procedure to minimize sensory disturbances.

Anesthesia complications, scarring, infection, pain. These are all risks associated with surgery in general. We use experienced anesthesiologists and make safety our priority for your breast augmentation.

Correct Asymmetry

Almost all women have some amount of asymmetry in the size and shape of their breasts. When the difference is extreme, it can lead to psychological distress, embarrassment about your body, and a lack of self-confidence.

Breast augmentation is one way to regain your body confidence and achieve the full, symmetrical bustline that makes you feel comfortable with your body. Breast implants can even out the size differences in your breasts by using a larger implant for the smaller breast.

Dr. Rai understands that asymmetry of your breasts can be an embarrassing and difficult topic to discuss. He believes that a candid, open discussion about your cosmetic goals and your surgical options is the first step to helping you feel comfortable and confident.

Incision Options

Every step in your breast augmentation procedure will be personalized to meet the specific demands of your unique frame. One of the options that Dr. Rai will discuss with you during your consultation is the incision location for your surgery.

With these options there is no risk of scarring on the breast, but certain aesthetic enhancements, such as pronounced cleavage may be more difficult to produce.

Dr. Rai offers also two options for incisions on the breasts:

Inframammary – in the fold where breasts and chest meet

Periariolar – in the dark skin of the areola

Incisions on the breasts allow Dr. Rai to work in closer proximity to the placement area, which can enhance certain cosmetic results. Dr. Rai uses his decades of experience to ensure that incisions on the breast are placed in well-hidden areas to reduce the appearance of scars after you have healed.

TUBA – Scarless Augmentation

Some women avoid considering breast augmentation because they are afraid of having visible scars around the areola, beneath the breast or even in the armpit. Transumbilical breast augmentation (TUBA) allows you to receive the breast enhancement that you want without any of that scarring. The only incision point is through your belly button. TUBA is often called scarless breast augmentation for this reason.

TUBA is an endoscopic procedure. Dr. Rai uses an endoscope, a long, flexible tube with a camera on the end, to perform TUBA surgeries. The endoscope is inserted through a small incision in your belly button and threaded up through the chest area. Dr. Rai performs your breast augmentation surgery with the use of a computer monitor connected to the camera to clearly see the placement area.

Only saline implants are available for this procedure because they are filled once placed with the use of the endoscope.

Dr. Rai is an experienced transumbilical breast augmentation surgeon, who is trained in this specific technique. Many of the myths about TUBA can be dispelled by addressing your concerns with Dr. Rai during your consultation.

Breast Augmentation Questions

Is there anything I should do to prepare for my surgery?
Plan for your surgery ahead of time. Make sure that you have adequate support system of friends/spouse while you recover from your surgery. Avoid taking any products that can interfere with surgery or increase risks, especially blood thinners and medications that increase bleeding. Your surgeon would have provided you with list of things to do and medications to avoid. Make sure that you follow that list.

You will need someone to drive you to your surgery, and back. Take adequate time off from your work to allow for proper healing. Get your prescriptions filled ahead of time.

If you do all that you will be in good shape for your surgery.

How do I choose which implants to get?
If you are not 22 years of age your only option is saline filled breast implants. FDA does not approve of use of silicone gel implants in your age group.

After attaining age of 22 you can choose between silicone gel filled implants and saline filled implants. Both are safe implants. However saline filled implants are even safer since saline is naturally present in your body. Saline implants lose that advantage in their feel. Silicone implants feel more natural than saline implants and have less rippling.

Since saline implants tend to show ripples they are usually placed behind chest muscle to hide their rippling. Silicone gel implants can be placed behind your chest muscle or in front of chest muscles since they feel more natural.

Thus it is best to make this choice with your chosen surgeon. Choice will be guided by your risk tolerance and suitability for each implant in your particular case.

Are there risks to having surgery?
There are risks with every surgery. However, breast augmentation is a low risk surgical procedure. There are risks associated with anesthesia, risks of reaction to medications.

There are early risks related to wound healing, infections, sensation loss, hypersensitivity or hyposensitivity.

In long term there are risks related to implant in your body. Implants can develop scar tissue around them and require future surgeries. Implants may require their replacement in case they were to break or rupture.

Is it possible to lose nipple sensation with breast augmentation?
Yes, however this risk is low. Nerves that carry sensation to nipples and areola travel through breasts. They can get stretched or damaged and cause loss/impairment of nipple and areola sensation. Many times this numbness is temporary and recovers. However, sensation loss can be permanent in some cases.

Will I be able to breast feed with breast implants?
Answer is yes. However, there are some reports of difficulty with breast feeding after breast augmentation. It may be related to the fact that some women cannot breast feed is absence of breast implants. Thus cause and effect relationship is not established.

There is none to a minimal disruption of lactation mechanism from breast augmentation. Implants simply sit behind breast tissue or behind muscle and overlying breast can carry on its function normally and take part in breast feeding.

How long is recovery after breast augmentation?
Each patient has her own unique journey. Non stressful routine activity can be resumed a day after surgery. Most patients can start to drive within 2-3 days of surgery as long as they are supporting their breasts with a bra. Most of stitches are removed in 7-10 days. Gradually increasing activity can be undertaken after that. Patients can assume normal full activity in 4-6 weeks.

Recovery is faster with subglandular implants compared to submuscular implants.

Can I have other procedures done at same time as my breast augmentation?
Yes. Breast augmentation can be combined with other cosmetic surgeries as long as you are in good general health. Most commonly other combined operations are liposuction, tummy tuck, face lift, rhinoplasty.

How long does breast augmentation surgery take?
Breast augmentation usually takes under two hours to perform.

What can I expect right after my procedure? Is it necessary to stay in the hospital?
There is minimal to no pain with breast augmentation. Submuscular implants are more uncomfortable than subglandular implants. Hospital stay is not required after breast augmentation. Patients can go home and sleep in their own bed after surgery.

Why does choosing a Plastic Surgeon matter over just a cosmetic surgeon?
It is the specialized training and rigorous selection process for that training that sets a plastic surgeon apart from non-plastic surgeons for plastic surgery. It has been clearly established that proper training of a surgeons translates to better outcomes and fewer complications for their patients.

What is the ideal breast size?
Only you can answer that question for yourself. Dr. Rai will help you visualize how different breast implant sizes will look on your figure and discuss the pros and cons of larger implants versus more a more natural, proportional look. Ultimately, your ideal breast size is one that complements your individual image.

Can breast augmentation be combined with other procedures?
Yes. Breast augmentation is sometimes combined with a breast lift to correct sagging and lift your fuller breasts into a more youthful position. Breast augmentation is also a common component of our mommy makeovers, where it can be combined with liposuction and tummy tuck procedures to give your full body the rejuvenation it deserves.

To get all of your questions answered and select the right procedures for your figure, call (972) 392-3511 today to schedule your consultation with experienced Dallas breast surgeon Dr. Rai.

The Cosmetic Surgical Center

Disclaimer: The Cosmetic Surgical Center site only provides information about cosmetic surgery and this information is not meant to be taken as medical advice. All references to board certification, membership in societies, patient reviews and photos are in reference to Dr. Vasdev Rai. For more information about plastic surgery, contact cosmetic surgeon, Dr. Vasdev Rai or Dr. Surjit Rai, serving Dallas and Fort Worth, Texas. Not all models displayed are patients of Dr. Rai.